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Sex Steroid Hormones and Olfactory Dysfunction in US Adults
Chubo Xie1,2, Pinning Feng3, Zhiqing He1,2
1Guangdong Provincial People's Hospital Ganzhou Hospital, Guangdong Academy of Medical Sciences, Guangdong Cardiovascular Institute, Guangzhou, China.
Higher free testosterone levels are linked to a lower prevalence of olfactory dysfunction in men. This study found no clear hormone-olfaction links in women, suggesting testosterone may explain sex differences in smell.
Area of Science:
- Endocrinology
- Neuroscience
- Gerontology
Background:
- Olfactory dysfunction is common and more prevalent in men, with sex steroid hormones implicated.
- Population-based evidence linking hormones to olfactory dysfunction remains limited.
Purpose of the Study:
- To investigate associations between serum free testosterone and estradiol and olfactory dysfunction in US adults.
- To explore potential sex and age differences in these associations.
Main Methods:
- Analysis of 2750 US adults (≥40 years) from the 2013-2014 National Health and Nutrition Examination Survey.
- Olfactory function assessed via the 8-item Pocket Smell Test; dysfunction defined as a score ≤5.
- Multivariable logistic and linear regression models adjusted for confounders.
Main Results:
- The prevalence of olfactory dysfunction was 16.49% in men and 10.58% in women.
- In men, higher free testosterone was associated with lower odds of olfactory dysfunction (aOR=0.47; 95% CI, 0.26-0.83), particularly in those >50 years.
- No significant associations were found for free testosterone or estradiol in women.
Conclusions:
- Elevated free testosterone is associated with reduced olfactory dysfunction in men.
- No clear associations between sex hormones and olfaction were detected in women.
- Circulating testosterone may play a role in sex-based differences in olfactory performance.
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